CDC Article-US Medical Eligibility Criteria for Contraceptive Use, 2010

66 MMWR June 18, 2010
TABLE. (Continued) Classifications for barrier methods,* † including condoms, spermicides, and diaphragms/caps
Category
Condition
b. Malabsorptive procedures: decrease absorption
of nutrients and calories by shortening the
functional length of the small intestine (Rouxen-Y
gastric bypass, biliopancreatic diversion)
Cardiovascular Disease
Multiple risk factors for arterial cardiovascular
disease (such as older age, smoking, diabetes,
and hypertension)
Condom
Spermicide
Diaphragm/
cap
1 1 1
1 1 1
Clarifications/Evidence/Comments
Hypertension
a. Adequately controlled hypertension 1 1 1
b. Elevated blood pressure levels (properly taken
measurements)
i. Systolic 140–159 mm Hg or
1 1 1
diastolic 90–99 mm Hg
ii. Systolic ≥160 mm Hg or diastolic ≥100 mm 1 1 1
Hg §
c. Vascular disease 1 1 1
History of high blood pressure during
pregnancy (where current blood pressure is
measurable and normal)
1 1 1
Deep venous thrombosis (DVT)/pulmonary
embolism (PE)
a. History of DVT/PE, not on anticoagulant
therapy
i. Higher risk for recurrent DVT/PE (≥1 risk 1 1 1
factors)
• History of estrogen-associated DVT/PE
• Pregnancy-associated DVT/PE
• Idiopathic DVT/PE
• Known thrombophilia, including antiphospholipid
syndrome
• Active cancer (metastatic, on therapy,
or within 6 mos after clinical remission),
excluding non-melanoma skin cancer
• History of recurrent DVT/PE
ii. Lower risk for recurrent DVT/PE (no risk 1 1 1
factors)
b. Acute DVT/PE 1 1 1
c. DVT/PE and established on anticoagulant
therapy for at least 3 mos
i. Higher risk for recurrent DVT/PE (≥1 risk 1 1 1
factors)
• Known thrombophilia, including antiphospholipid
syndrome
• Active cancer (metastatic, on therapy,
or within 6 mos after clinical remission),
excluding non-melanoma skin cancer
• History of recurrent DVT/PE
ii. Lower risk for recurrent DVT/PE (no risk 1 1 1
factors)
d. Family history (first-degree relatives) 1 1 1
e. Major surgery
i. With prolonged immobilization 1 1 1
ii. Without prolonged immobilization 1 1 1
f. Minor surgery without immobilization 1 1 1
Known thrombogenic mutations § (e.g., factor V
Leiden; prothrombin mutation; protein S, protein C,
and antithrombin deficiencies)
1 1 1 Clarification: Routine screening is not appropriate because of the rarity of the
conditions and the high cost of screening.